Abstract

The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)

Highlights

  • Case managed approach (As a model of community intervention in people with severe mental illness) with pharmacological and psychosocial integrated care have been suggested as a way to prevent suicide attempts among people with severe schizophrenia compared with standard treatment

  • Suicide attempts decreased significantly: only 26 (7.6%) patients had had some suicide attempt in the Program versus 134 (38.9%) the previous ten years (p

  • The results support the effectiveness of case management approach in terms of improving adherence and diminishing suicide attempts compared to standard treatment

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Summary

Introduction

Case managed approach (As a model of community intervention in people with severe mental illness) with pharmacological and psychosocial integrated care have been suggested as a way to prevent suicide attempts among people with severe schizophrenia compared with standard treatment. The objectives of this study were to know the suicide attempts of patients with severe schizophrenia before (standard treatment in mental health units) and during treatment in a comprehensive, integrated, community based, intensive case managed program. The program for people with severe mental illness in Gijón (Spain) is based on the prin-ciples of community care with intensive case management and with a multidisciplinary team intervention. Nurses as case managers and integrated psychological and pharmaco-logical treatment, social skills training, psychoeducation, vocational intervention and home support are provided

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